Consultant General Internal Medicine with specialist interest in Rheumatology

Woodston Personnel Ltd.•Beaverton, OR

1d•€238,221 - €286,151

About The Position

Our client seeks an energetic, forward-thinking Consultant Physician in General Internal Medicine (GIM) with a special interest in Rheumatology to join the Department of Medicine. This dual-focus post addresses the acute medical intake alongside expanding outpatient and ambulatory rheumatology services. The successful candidate will work closely with the National Clinical Programme for Rheumatology (NCPR) to reduce waiting lists, expand early inflammatory arthritis assessment, and deliver multidisciplinary chronic disease management, while providing senior decision-making on the acute unselected medical take.

Requirements

Inclusion on the Specialist Division of the Register of Medical Practitioners maintained by the Medical Council in Ireland in both General Internal Medicine and Rheumatology; appointment is contingent on active specialist division registration.
Completion of recognised Higher Specialist Training or equivalent in both General Internal Medicine and Rheumatology.
Proven track record in running early inflammatory arthritis clinics and managing complex systemic autoimmune and connective tissue diseases.
Competence in joint and soft-tissue aspiration and injection techniques.
Proven capability in managing high-volume acute unselected medical emergencies as the primary decision-maker.
Outstanding communication skills, particularly in managing chronic disease discussions, shared decision-making, and open disclosure.
Ability to work constructively within multidisciplinary acute and ambulatory teams.

Nice To Haves

Competence in point-of-care musculoskeletal ultrasound is highly advantageous.
Candidates eligible for specialist registration within 3 to 6 months of the interview date may apply, but appointment is contingent on active specialist division registration.

Responsibilities

Provide senior clinical leadership on the acute medical intake, conducting timely post-take ward rounds and direct reviews in the Acute Medical Assessment Unit (AMAU/AMU) and Emergency Department.
Lead inpatient medical ward rounds, ensuring proactive discharge planning and multidisciplinary team (MDT) communication.
Participate in the acute unselected General Internal Medicine on-call rota in accordance with the agreed departmental schedule.
Lead outpatient clinics, including Early Inflammatory Arthritis rapid access, connective tissue disease/systemic vasculitis, and general rheumatology clinics.
Oversee day-ward services, including biologic therapies, DMARD initiation and monitoring protocols, and therapeutic infusions.
Provide specialist diagnostic assessments, including musculoskeletal ultrasound for inflammatory arthritis where trained or applicable, and diagnostic or therapeutic joint injections and aspirations.
Provide inpatient rheumatology consultative liaison across medical, surgical, and orthopaedic wards.
Collaborate with Clinical Nurse Specialists, Advanced Nurse Practitioners, senior MSK physiotherapists, and occupational therapists within the rheumatology ambulatory care team.
Lead and participate in morbidity and mortality reviews, clinical audit, risk management, and medication safety monitoring for high-risk systemic immunosuppressants.
Support implementation of HSE NCPR and EULAR quality standards and clinical pathways.
Train, supervise, and mentor Basic and Higher Specialist Trainees in General Internal Medicine and Rheumatology under the Royal College of Physicians of Ireland.
Contribute to undergraduate clinical medical student teaching affiliated with the hospital.